Active NPI
Lizette Lizcano Martinez, M.S. CCC/SLP
- Speech-Language Pathologist
- Pharr, TX
National Provider Identifier
1790455772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 109568
- Practice address
- 615 W Eldora Rd
Pharr, TX 78577-8073 - Phone
- (956) 354-2710
- NPI assigned
- Sep 20, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 109568 | TX | Primary |
Addresses
Primary practice location
615 W Eldora Rd
Pharr, TX 78577-8073
Mailing address
2014 Fair Oaks Dr
Mission, TX 78574-2000
Phone (956) 249-0007
Other names 1
- Ms. Lizette Martinez
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 109568 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632096000000",
"number": "1790455772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2014 FAIR OAKS DR",
"city": "MISSION",
"state": "TX",
"postal_code": "785742000",
"telephone_number": "956-249-0007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 W ELDORA RD",
"city": "PHARR",
"state": "TX",
"postal_code": "785778073",
"telephone_number": "956-354-2710"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ",
"first_name": "LIZETTE",
"middle_name": "LIZCANO",
"credential": "M.S. CCC/SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-09-20",
"last_updated": "2021-09-20",
"certification_date": "2021-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "109568",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LIZETTE",
"last_name": "MARTINEZ",
"prefix": "MS.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Pharr, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.